纤维支气管镜检查对儿童慢性咳嗽的诊断价值

Diagnostic value of fiberoptic bronchoscopy in children with chronic cough

目的:探讨纤维支气管镜检查对儿童慢性咳嗽的诊断价值。方法:收治慢性咳嗽患儿100例,均使用纤维支气管镜检查,观察检查结果。结果:反复呼吸道感染35例,支气管异物15例,支气管哮喘或咳嗽变异性哮喘15例,上呼吸道咳嗽综合征12例,胃-食管反流病6例,喉-气管-支气管软化5例,支气管先天畸形4例,肺纤维化2例,纤毛不动综合征2例,肿瘤2例,特发性肺含铁血黄素沉积症1例,原因不明1例;灌洗液检出病原微生物35例,检出率35.0%。结论:纤维支气管镜检查在儿童慢性咳嗽中检出阳性率高,可以明确诊断,意义重大。

Objective:To explore the diagnostic value of fiberoptic bronchoscopy in children with chronic cough.Methods:100cases of children with chronic cough were selected.They were given fiberoptic bronchoscopy.We observed the results of the examination.Results:There were35cases of recurrent respiratory tract infection,15cases of bronchial foreign bodies,15cases of bronchial asthma or cough variant asthma,12cases of upper respiratory cough syndrome,6cases of gastroesophageal reflux disease,5cases of throat-trachea-bronchial tube softening,4cases of congenital malformation of bronchus,2cases of pulmonary fibrosis,2cases of cilia immobility syndrome,2cases of tumor,1case of idiopathic pulmonary cirrhosis,1case of unknown,pathogenic microorganisms were detected in lavage fluid of35cases,and the detection rate was35%.Conclusion:The positive rate of fiberoptic bronchoscopy in children with chronic cough was high.It could make a definite diagnosis,and the significance was great.